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Cellulitis

Reviewed 06/2018
 


BASICS

A common global health burden with >650,000 admissions per year in the United States alone (1)[A

DESCRIPTION

  • An acute bacterial infection of the dermis and subcutaneous (SC) tissue

  • Types and ...

DIAGNOSIS

Primarily a clinical diagnosis 

HISTORY

  • Previous trauma, surgery, animal/human bites, dermatitis, fungal infection are portals of entry for bacterial pathogens.

  • Pain, itching, and/or burning

  • Fev...

TREATMENT

GENERAL MEASURES

  • Immobilize and elevate involved limb to reduce swelling.

  • Sterile saline dressings or cool aluminum acetate compresses for pain relief

  • Edema: compression stocking, pneumatic pum...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

  • Repeat relevant labs (blood culture, CBC, potentially LP) if patient is toxic or not improving.

  • Consider deep vein thrombosis prophylaxis.

  • Cutaneo...

REFERENCES

1
1 Raff A, Kroshinsky D. Cellulitis: a review. JAMA.  2016;316(3):325–337. {L-End} {L-End} [View Abstract on OvidMedline]
2
2 Figtree M, Konecny P, Jennings Z, et al. Risk stratificat...

ADDITIONAL READING

  • Gunderson CG. Cellulitis: definition, etiology, and clinical features. Am J Med.  2011;124(12):1113–1122. {L-End} {L-End} [View Abstract on OvidMedline]

  • Liu C, Bayer A, Cosgr...

CODES

ICD10

  • H05.019 Cellulitis of unspecified orbit

  • H05.011 Cellulitis of right orbit

  • H05.012 Cellulitis of left orbit

  • H05.013 Cellulitis of bilateral orbits

ICD9

376.01 Orbital cellulitis 

SNOMED

194005002 o...

CLINICAL PEARLS

  • S. aureus and group A Streptococcus are the most common organisms causing cellulitis.

  • Consider MRSA if cellulitis does not respond to antibiotics within 48 hours.

  • Rapid expansion of infe...

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